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Jake Giffuni
Addiction (Substance Use Disorder) Counselor in Loa, Utah
NPI 1194204412

Jake Giffuni is an Addiction (Substance Use Disorder) Counselor based in Lyman, UT and is specialized in Addiction (Substance Use Disorder). Jake Giffuni practices in Loa, UT. The NPI Number for Jake Giffuni is 1194204412 and holds a License No. 10269706-6006 (Utah).

The current practice location address for Jake Giffuni is 1764 West Aspen Lane, Loa, UT and can be reached out via phone at 435-836-2272.

Location: 1764 West Aspen Lane, Loa, UT, 84749-1436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194204412
Provider Name
Jake Giffuni
Credential
Provider Entity Type
Individual
Gender
Male
Address
1764 West Aspen Lane, Loa, UT, 84749-1436
Phone Number
435-836-2272
Fax Number
Provider Enumeration Date
08/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1764 West Aspen Lane
City
Loa
State
Utah
Zip
84747
Phone Number
435-836-2272
Fax Number
person
Provider Business Mailing Address Details
Address
1764 West Aspen Lane
City
Loa
State
Utah
Zip
84747
Phone Number
435-836-2272
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
10269706-6006 (Utah)
Definition
Definition to come...
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